Chapter 42 Awareness Under Anesthesia
Incidence
1. What is the difference between explicit and implicit memory?
2. Can the incidence of intraoperative awareness be reliably determined in the recovery room? By self-reporting?
3. What are the components of the “structured interview” as used to evaluate the occurrence of intraoperative awareness?
4. When studied prospectively, and when using a structured interview, what is the approximate incidence of intraoperative awareness?
Prevention of awareness
10. What are some conventional monitors used to assess anesthetic depth?
11. What are some limitations of brain function monitors for assessing anesthetic depth and the risk for intraoperative awareness?
12. What measures can be taken to help prevent intraoperative awareness?
13. What are the elements that the Joint Commission recommends to prevent and manage intraoperative awareness?
The ASA’s practice advisory on intraoperative awareness and brain function monitors
15. According to the Practice Advisory from the American Society of Anesthesiologists (ASA) on Intraoperative Awareness and Brain Function Monitoring, what should the preoperative evaluation include to minimize the risk of intraoperative awareness?
16. According to the Practice Advisory from the ASA on Intraoperative Awareness and Brain Function Monitoring, what should the preinduction phase include to minimize the risk of intraoperative awareness?
17. According to the Practice Advisory from the ASA on Intraoperative Awareness and Brain Function Monitoring, what should intraoperative monitoring include to minimize the risk of intraoperative awareness?
18. According to the Practice Advisory from the ASA on Intraoperative Awareness and Brain Function Monitoring, what should intraoperative and postoperative management include to minimize the risk of intraoperative awareness and associated sequelae?
